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Disappearing Ambivalence? Representations of Intersexuality in North American Medical Television Dramas Masterarbeit im Fach: North American Studies dem Fachbereich: Fremdsprachliche Philologien der Philipps-Universität Marburg vorgelegt von: Simon Daniel Whybrew aus Göttingen Marburg, 2015 Originaldokument gespeichert auf dem Publikationsserver der Philipps-Universität Marburg http://archiv.ub.uni-marburg.de Dieses Werk bzw. Inhalt steht unter einer Creative Commons Namensnennung Keine kommerzielle Nutzung Weitergabe unter gleichen Bedingungen 3.0 Deutschland Lizenz. Die vollständige Lizenz inden Sie unter: http://creativecommons.org/licenses/by-nc-sa/3.0/de/ Table of Contents 1. Introduction ......................................................................................................................1 2. Working Deinitions of Theoretical Concepts ................................................................5 2.1 Hermaphroditism, Intersexuality, DSD and the Importance of Terminology .............5 2.2 Medicalization of Intersexuality and the Construction of the Gender Binary ............8 2.3 Intersexuality and the Ambivalence of the Sex/Gender Binaries ..............................13 3. Origins and Construction of MedicalAuthority in Medical TV Shows ...................17 3.1 MedicalAuthority and the Reception of MedicalTV Shows ...................................17 3.2 Narrative Construction of Medical Authority in Medical TV Dramas .....................21 3.2.1 Chicago Hope and the Professionalism of High-Tech Medicine ................................. 21 3.2.2 ER and the Benevolent Wisdom of the Emergency Room ........................................... 23 3.2.3 Grey’s Anatomy: It is All about the Competition .......................................................... 26 3.2.4 Private Practice: A Special Kind of Practice ............................................................... 30 3.2.5 House, M.D.: Untangling Medical Mysteries ............................................................... 32 3.2.6 Saving Hope: A Healthcare Service that Transcends Death ......................................... 36 4. Representations of Intersexuality before the 2006 “Consensus Statement on Management of Intersex Disorders” ............................................................................39 4.1 “A Vagina Would be Far Easier to Construct Surgically”: Intersexuality in the Chicago Hope Episode “The Parent Rap” ................................................................39 4.2 “Seems That Barbie is a Boy”: Intersexuality in the ER Episode “Masquerade” ....44 4.3 “Do I Have to be a Boy Now?”: Intersexuality in the Grey’s Anatomy Episode “Begin the Begin” .....................................................................................................48 4.4 Implications of the Representations before the “Consensus Statement” ..................55 5. Depictions of Intersexuality after the 2006 “Consensus Statement on Management of Intersex Disorders” ....................................................................................................60 5.1 “It is Okay to be Different”: Intersexuality in the Private Practice Episode “Wait and See” ....................................................................................................................60 5.2 “You Gave Birth to a Freak of Nature, Doesn’t Mean it’s a Good Idea to Treat Him Like One”: Intersexuality in the House, M.D. Episode “The Softer Side” ..............67 5.3 Correcting the Corrected: Transsexual Intersexuality in the Saving Hope Episode “Vamonos” ................................................................................................................72 5.4 Implications of the Representations after the “Consensus Statement” .....................77 6. Conclusion ......................................................................................................................83 7. Works Cited ....................................................................................................................87 I was beginning to understand something about normality. Normality wasn’t normal. It couldn’t be. If normality were normal, everybody could leave it alone. They could sit back and let normality manifest itself. But people—and especially doctors—had doubts about normality. They weren’t sure normality was up to the job. And so they felt inclined to give it a boost. —Jeffrey Eugenides, Middlesex1 (503) During this century2 the medical community has completed what the legal world began—the complete erasure of any form of embodied sex that does not conform to a male-female, heterosexual pattern. —Anne Fausto-Sterling, “Five Sexes” (23) 1. Introduction Medical TV dramas have been a staple of the North American television landscape since Medic was introduced as the irst of its kind in 1954 (Tapper 393; Goodman 182). In fact, as Strauman and Goodier note, they are “one of the most popular generic conventions in television” (“Not Your” 127). Indeed, these shows have always been extremely popular with the North American viewing public and TV audiences around the world. However, although these shows have always placed a remarkable emphasis on accurately representing modern medicine—Medic’s producers in fact closely collaborated with the Los Angeles County Medical Association (Tapper 393)—this legacy of painting a positive or even idealized picture of medicine and its practitioners has also meant that they have mostly shied away from critically relecting on the institution’s normative function in society. Thus, medicine, rather than a social agent itself, has often taken on the appearance of a neutral and benevolent arbiter for society at large that bases its decisions purely on biological ‘facts’ without any interference from cultural norms. However, as the above epigraph from Jeffrey Eugenides’s Middlesex indicates, medicine’s deinition of what is normal is never extra-cultural or essential in and of itself, and always potentially problematic; because it brings with it the need to police normality—“to give it a boost”—whenever it is threatened by deviation. As such, this oversight—as the epigraph from Anne Fausto-Sterling’s seminal essay “The Five Sexes” makes clear—can have potentially devastating consequences when it comes to these shows’ representations of individuals or groups of individuals that fall out of the purview of ‘normality’ or rather normativity. As Roen puts it, “[a]typicality only makes sense, and only comes into being as something that might be erased, insofar as an imagined norm can be sustained (Roen 34). Intersex people3 are one of these marginalized groups that raise the question as to what is considered normal in our heteronormative society,4 and as such have been the target for surgical 1 The same epigraph is also used by Zajko (175). 2 Fausto-Sterling wrote this article in 1993 and is therefore referring to the 20th century. Her statement nonetheless still remains relevant for the 21st century. 3 Individuals whose bodies defy deinite characterization as either male of female (LeFay Holmes 15). 4 A heteronormative society privileges heterosexuality and regards it as the norm (Berlant and Warner 548). 1 erasure since the emergence of modern biomedicine (Fausto-Sterling, “Five Sexes”; Preves, Intersex 20). Since the mid 1990s the topic of intersexuality has become “a frequent topic on television and in the national print media” (Karkazis 263). Subsequently, it has also become somewhat of a trope on medical TV dramas since it was irst broached on Chicago Hope in 1996—two years later its competitor ER followed suit5 (Tropiano 52). This development was particularly signiicant because these shows not only reach a tremendous number of viewers in the US, but are also “exported across US borders and have found a loyal following all over the world” (Marchessault and Sawchuk 1). Thus, this thesis will explore the intersection between the medical authority of medical TV dramas and their depiction of intersexuality, heteronormativity, and the resulting effects. In order to do this, I will focus on an analysis of the portrayal of intersexuality in the respective episodes of prominent shows like Chicago Hope, ER, Grey’s Anatomy, Private Practice, House, M.D., and the Canadian Drama Saving Hope, which I will contextualize with other— less prominent—examples to demonstrate that these are not isolated examples, but rather represent broader trends within the genre. In the process, I argue that the portrayal of intersex people and other socially marginalized and medically stigmatized groups on medical TV dramas gains particular importance because of the discourses6 of medical authenticity that surround them. As a result of this, medical TV dramas are shown to be emboldened with the discursive power of modern biomedicine: an effect that, as I will show, is further enhanced by the performative enactment of medical professionalism on the shows themselves. This imparts an aura of medical authority to these shows, which gives them the power to critically relect and problematize modern medicine’s practices—both past and present. Accordingly, I argue that the depictions of intersex people as a socially marginalized, and medically stigmatized and pathologized group gains special signiicance because the discursive power held by these shows gives them the potential to either reafirm their marginalized status, or to challenge it and potentially even the heteronormative system that underlies it. Although both intersexuality and